Henry Adolph Anderson III, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

18539 Issued in WI

Practice address

200 Lakewood Blvd
Madison, WI 53704-5916

Phone

(608) 241-1227

NPI assigned

Nov 7, 2023

Last updated

Nov 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1396519757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAKEWOOD BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045916",
            "telephone_number": "608-241-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAKEWOOD BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045916",
            "telephone_number": "608-241-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HENRY",
        "middle_name": "ADOLPH",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "WI",
            "license": "18539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Anderson, L.AC.
• Felicia Anderson
• Graetel Anderson, RN
• Hannah Lea Anderson, CAPSW
• Heather D Anderson
• Jacob Anderson, MD
• Jade Arielle Anderson, M.D.
• Jared Joel Anderson
• Jason Alexander Anderson
• Jazette Anderson

• Preventive Medicine/Occupational Environmental Medicine Physician in Madison, WI
• Providers in Madison, WI by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.